OrganizationActive
Shannon Medical Center
NPI 1104886969 · Ambulatory Surgical Clinic/Center · San Angelo, TX
Provider details
- NPI number
- 1104886969
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Kirkham, Billing Supervisor(325) 657-5031
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 E Harris Ave
San Angelo, TX 76903-5904
Phone: (325) 657-5031
Street-level locationGet directions
Mailing address
Po Box 1879
San Angelo, TX 76902-1879
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2011-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.